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MANUFACTURED DWELLING PERMIT <br />DATE/TIME ~ 06/28/99 16:50 PERMIT NO <br />TYPE : New Manufactured Dwelling STATUS <br />UGB~ AM SITE~ ISSUED <br /> TO EXPIRE <br /> PAGE <br /> <br />99-04774 <br />ISSUED <br />06/20/1999 <br />12/27/1999 <br />1 <br /> <br />WURK DESC : MPG RES - kVtR~REEN ESIAIES MH PARK <br /> <br />SITE ADDRESS <br /> <br />MHP (Y/N) <br />MHP/ MH SUBDIV: <br /> <br />345 EVERGREEN DR AM <br /> <br />Y <br />EVERGREEN ESTATE LOT: <br /> <br />LOCATOR: 082W25C 00600 <br />CIl~{: AUMSVILLE <br /> <br />TAX ACCOUNT : 57706-000 <br />PARCEL SIZE : 4032.0SF MAP: 51 ZONE: RM LAND USE: <br /> <br />OWNER <br />APPLICANT <br /> ADDRESS <br /> <br />PHONE <br /> <br />CONTRACTOR/ <br /> AGENT <br /> PHONE <br /> <br />EVERGREEN ESTATES <br />YOUNGER JIM <br />CAPITOL AWNING <br />PO BOX 4234 <br />SALEM OR 97302 <br />743-3334 <br /> <br />CARVER ENTERPRISES LLC <br />YOUNGER JIM <br />769-7744 <br /> <br />INSTALLER <br />PHONE <br /> <br />OCCB: 0098940 <br /> <br />MD LICENSE: <br /> <br />UNIT SQ FT HEIGHT: <br /> <br /> Units Description Fee <br /> 1 Manufactured dwelling fee.. 305.00 <br /> 1 State surcharge 15.25 <br /> i State administrative fee 30.00 <br /> <br /> Assessed fees 350.25 <br /> Adjustments .00 <br /> Total fees 350.25 <br /> PAYEE: YOUNGER JIM Total payments: 350.25 <br /> Balance due : .00 <br /> <br /> THIS PERMIT IS NON-TRANSFERABLE AND EXPIRES 180 DAYS FROM ISSUE DATE IF WORK <br /> HAS NOT COMMENCED. OR IF CONSTRUCTION CEASES FOR A PERIOD OF 180 DAYS. OR IF <br /> CONSTRUCTION FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY <br /> ORDINANCES. UPON WRI~EN REQUEST. ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br /> <br />